Yvette Lynn Anderson, LMSW
Individual provider Active NPI Social Worker · Portland, CT
NPI 1548091606 · NPPES record last updated Aug 12, 2024
Key facts
- NPI
- 1548091606
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 8211 (CT)
- Practice address
- 325 Main St
Portland, CT 06480-1561 - Phone
- (860) 342-3252
- Fax
- (860) 342-4556
- NPI assigned
- Aug 12, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8211 | CT | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8211 | CT | Yes |
Addresses
Primary practice location
325 Main St
Portland, CT 06480-1561
Mailing address
1250 Silver St
Middletown, CT 06457-3946
Phone (860) 342-3252
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All providers in Portland, CT · Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.